DEPARTMENT OF INSURANCE

Affiliations

Name	Boettcher, Andy Mark	DOIID	654188	NAIC NPN	2600760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2018	11/30/2025
Active	Non Resident	Agent	Health	2/28/2018	11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	5 Star Life Insurance Company	300673	Agent - Health	4/9/2012	12/30/2014
Inactive	5 Star Life Insurance Company	300673	Agent - Life	4/9/2012	12/30/2014
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/30/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/4/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/9/2012	11/30/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/24/2022
Inactive	American Continental Insurance Company	643130	Agent - Health	6/8/2007	4/7/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	12/4/2018	8/11/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	12/8/2020
Inactive	American National Insurance Company	301861	Agent - Health	8/16/2011	11/30/2017
Active	American National Insurance Company	301861	Agent - Life	1/18/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/22/2012	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2012	11/2/2016
Active	Athene Annuity and Life Company	301893	Agent - Life	4/16/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/9/2008	12/29/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/9/2008	12/29/2008
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	3/6/2017	11/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	3/22/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	5/22/2007	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	5/22/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	5/22/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	5/22/2007	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/4/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/23/2008	4/7/2011
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/7/2008	5/13/2010
Inactive	Delaware Life Insurance Company	301256	Agent - Life	1/21/2022	11/22/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/22/2013
Inactive	Encova Life Insurance Company	301818	Agent - Life	2/25/2009	11/30/2017
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/27/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/15/2010	11/30/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/9/2008	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/9/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	12/16/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	12/16/2009	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/10/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/10/2011	12/26/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/28/2009	12/6/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/28/2009	12/6/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/18/2016	12/12/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/18/2016	12/12/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	7/17/2013	11/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/17/2013	11/30/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/17/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/17/2009	2/24/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/25/2010	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/25/2010	4/11/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/17/2009	3/22/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/17/2009	3/22/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2009	12/26/2012
Active	National Health Insurance Company	300554	Agent - Health	3/30/2024
Active	National Health Insurance Company	300554	Agent - Life	3/30/2024
Inactive	National Western Life Insurance Company	301515	Agent - Life	7/11/2011	11/30/2017
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	11/3/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/3/2023
Inactive	New York Life Insurance Company	300431	Agent - Health	6/11/2012	4/2/2013
Inactive	New York Life Insurance Company	300431	Agent - Life	6/11/2012	4/2/2013
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/11/2024
Active	Oceanview Life and Annuity Company	301868	Agent - Life	2/16/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	9/25/2012	8/22/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/14/2008	11/3/2011
Active	Principal National Life Insurance Company	301926	Agent - Life	5/27/2022
Inactive	SILAC Insurance Company	300535	Agent - Life	6/28/2021	12/21/2022
Active	Security Benefit Life Insurance Company	300583	Agent - Life	1/10/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/30/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	12/7/2020	11/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/16/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/16/2009	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/18/2014	11/30/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	11/30/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/18/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	11/30/2017
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/11/2017
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/11/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/22/2012	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/22/2012	11/2/2016
Denied	Health Plan Intermediaries Holdings	786463	Agent - Health
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life